Point University Women's Soccer ID Camp

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Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

Date of Birth *

High School attending *

Graduating Class *

Current GPA *

ACT and SAT Scores *

Primary Position *

Secondary Position *

Club Soccer Affiliation *

Coach's reference name and phone number *

Intended Major *

Will you be Attending on January 18th? *

Yes No

T-Shirt Size *

* required field